2027 ICD-10-CM Diagnosis Code K02Dental caries
K02 is a non-billable ICD-10-CM category code for dental caries, so it cannot be submitted on claims. Use a more specific code from this category instead, such as K02.3, K02.51, K02.52, and K02.53.
Code Identity
Code Classification
Specific Coding for Dental cariesOverview
Non-specific codes like K02 require more characters. Use one of these billable codes instead:
Use K02.3 for Arrested dental caries
K02.5 for Dental caries on pit and fissure surface
Use K02.51 for Dental caries on pit and fissure surface limited to enamel
Use K02.52 for Dental caries on pit and fissure surface penetrating into dentin
Use K02.53 for Dental caries on pit and fissure surface penetrating into pulp
K02.6 for Dental caries on smooth surface
Use K02.61 for Dental caries on smooth surface limited to enamel
Use K02.62 for Dental caries on smooth surface penetrating into dentin
Use K02.63 for Dental caries on smooth surface penetrating into pulp
Use K02.7 for Dental root caries
Use K02.9 for Dental caries, unspecified
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to K02: its own notes plus those printed at Chapter 11. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- caries of dentine
- dental cavities
- early childhood caries
- pre-eruptive caries
- recurrent caries (dentino enamel junction) (enamel) (to the pulp)
- tooth decay
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name K02, its category, or a range that includes it.
Clinical InformationClinical
Dental Caries
localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. if left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp.
Patient EducationClinical
Tooth Decay
Tooth decay is damage to a tooth's surface, or enamel. It happens when bacteria in your mouth make acids that attack the enamel. Tooth decay can lead to cavities (dental caries), which are holes in your teeth. If tooth decay is not treated, it can cause pain, infection, and even tooth loss.
The full article covers:
- What is tooth decay?
- What causes tooth decay?
- Who is at risk for tooth decay?
- What are the symptoms of tooth decay and cavities?
- How are tooth decay and cavities diagnosed?
- What are the treatments for tooth decay and cavities?
- Can tooth decay be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About K02Overview
What is the ICD-10 code for dental caries?
K02 is the ICD-10-CM category for dental caries, but it is a non-billable header: claims need a more specific code from this category, listed on this page.